Glasgow men's 10k form

Glasgow Men's 10k form

Thank you very much for your interest in running in the Glasgow Men's 10k for Bliss.

Please complete the form below in as much detail as possible to apply for your place in Team Bliss.

We will contact you to let you know if you have been successful in your application. If you are then we will ask you to pay a registration fee of £10.

Your details

Title

First name

Last name

Address line 1

Address line 2

Address line 3

Town or City

Postcode

Date of birth

Email address

Phone number

Type of phone number

Running for Bliss

How did you hear about Bliss' places for this event?

We'd love to know more about how you found out we had places available for this event.

If other please give details

Please tell us why you would like to run for Bliss

We'd love to know a bit more about what motivated you to apply to run for Bliss.

Are you raising funds in memory of a loved one?

If you would like to find out more about setting up a tribute fund please contact events@bliss.org.uk for further information.

Bliss requires you to agree to a sponsorship pledge of £100 for your Glasgow Men's 10k place.

How would you hope to raise this amount?

Please give as much detail as possible about your fundraising plans. Remember that fundraising is not limited to asking people for sponsorship!

Do you think you could raise more than £100?
Yes
No

If so, how much?

Does your employer operate a matched giving scheme?

If yes, what is the name of your company?

Occupation

We ask this so we can best support you with opportunities for fundraising.

Have you taken part in a running/sporting event before?

Please give details

Have you supported Bliss in the past?

If so, thank you! How did you support us?

Would you like a male or female running vest?

What is your running vest size?

Terms and conditions

By agreeing to these terms and conditions you are pledging to raise £100 for Bliss (excluding Gift Aid) by 17 July 2019.

Once your place has been confirmed we require a registration fee payment of £10 for your place. If you drop out for any reason your deposit is non-refundable and it cannot be rolled over to next year’s Men's 10k or another event.

Bliss and Bliss Scotland do not take responsibility for any health issues during your training for the event or any incidents that occur on race day. If you have any health concerns prior to, or during, your training please consult with your doctor.

Bliss Scotland reserves the right to refuse an application at its absolute discretion.

You must be 18 years or over on the day of the race.

If you are unable to participate in the event for any reason, all donated monies collected in support of Bliss Scotland must be forwarded to the charity or returned to the individual sponsors. Monies already received by the charity will not be refunded.

You must contact Bliss immediately if you think you are going to be unable to participate.

When Bliss and Bliss Scotland establish contact described as "urgent", runners must respond via email/telephone/in writing as quickly as possible.

By signing up to the Men's 10k you are consenting to Bliss and Bliss Scotland using any images of you in their promotional materials. Please contact us in advance of the run if you are unhappy with this arrangement.

If you fail to return your timing chip at the end of the race, any costs incurred by Bliss will automatically be transferred to you.

I have read and understood the terms and conditions above and would like to apply for a charity place to run for Bliss. I understand that if accepted for a Bliss charity place I am undertaking a pledge to raise £100 for the 10k (excluding Gift Aid) for Bliss by 17 July 2019.

Name

Date

Let's keep in touch

Your support helps the most vulnerable babies in the UK. We’d love to keep you updated with news about our work and ways you can get involved with Bliss. Are you happy to be contacted by:

Email

Telephone

Text message

Post

Your privacy

We (Bliss and Bliss Scotland) promise we will use the personal data you have provided to communicate in the way(s) you have agreed to.

We will not pass on your details on to any third party organisation for their marketing purposes.